JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Spring 2016 Service-Learning Teaching Assistant Application
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Anticipated Graduation Year
*
Your answer
GPA
*
Your answer
Major(s):
*
Your answer
Minor(s):
If applicable.
Your answer
If you have or are currently taking one or more service-learning courses, please list them below.
Your answer
Is there a specific faculty member or course you would like to work with?
If yes, please indicate below.
Your answer
Compensation.
*
Select one.
work-study (must be work-study eligible)
$1000 stipend (limited availability)
internship/practicum
directed/independent study
volunteer (including CEP)
part-time, unpaid co-op
Training & Orientation
Training Availability
*
Please select all that you are available for. You will only be required to attend one training. Training date/location will be confirmed upon hire.
Tuesday, January 5th at 12-5pm
I am unable to attended any of the training dates listed above.
Required
I am able to attend the S-L Partnership Orientation on Thursday, January 7, 2016 at 11am-2pm.
*
You should attend S-LTA training before Partnership Orientation.
Yes
No
Unsure
I am available to attend weekly S-LTA meetings on Wednesdays at 6-7:30pm.
*
Weekly attendance is mandatory; we will still consider applicants who have a class on Wednesday evenings.
Yes
No
Unsure
Additional comments related to the training, orientation, and/or meeting requirements:
Optional
Your answer
Open-Ended Responses
Please note, you are unable to save your responses and return to this document. We highly recommend typing your answers to the follow questions elsewhere, and then copy-paste them in the text boxes below. Please be as brief, yet thorough as possible.
Why do you want to be a Service-Learning Teaching Assistant?
*
Your answer
In your opinion, what are the top three qualities of a student leader? How do you embody each of those qualities?
*
Your answer
Please share a past service-learning, community service, or community-based experience that made an impact on you and why that experience was significant.
*
Your answer
Additional Information
Group Interview Availability
*
S-LTA interviews will be conducted in a group format. Please select all days/times you are available for. If you are selected for an interview, your day/time will be confirmed via email.
Tuesday, December 1st at 4-5pm
Wednesday, December 2nd at 9-10am
I am unavailable at the above times.
Required
Spring 2016 schedule: please list days/times of classes.
Include your anticipated schedule if you haven't registered for spring courses yet.
Your answer
Are you proficient or fluent in one or more of the following languages?
Select all that apply.
Spanish
Chinese (Mandarin)
Neither
Additional information you would like to share:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
